Healthcare Provider Details

I. General information

NPI: 1346364981
Provider Name (Legal Business Name): MARATHON PHYSICAL THERAPY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 N HENDERSON RD SUITE 102
KING OF PRUSSIA PA
19406-2155
US

IV. Provider business mailing address

170 N HENDERSON RD SUITE 102
KING OF PRUSSIA PA
19406-2155
US

V. Phone/Fax

Practice location:
  • Phone: 610-265-6063
  • Fax: 610-354-0263
Mailing address:
  • Phone: 610-265-6063
  • Fax: 610-354-0263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT-003030-L
License Number StatePA

VIII. Authorized Official

Name: MR. A. DAVID FRANK
Title or Position: OWNER
Credential: PT
Phone: 610-265-6063